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Holy Disciples Parish Registration

Thank you for taking a minute to Register your household with our Parish Office. Please fill out the form as completely as possible (up to six family members). When you are finished, click on the "submit" button at the bottom of the form. Welcome to our parish!

Head of Household Information
Head of Household
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Gender
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Date of Birth //
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Sacraments Received
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Contact Information for Your Household
Address
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Mailing Address (if different than residence)
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Primary Phone --
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Secondary Phone --
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E-mail
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Which Mass do you usually attend?
List (Multiple Choice)
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Family Member #2 Information
Name
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Date of Birth //
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Gender
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Relationship
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Sacraments Received
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Family Member # 3 Information
Name
  •  
Date of Birth //
  •  
Gender
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Relationship
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Sacraments Received
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Family Member #4 Information
Name
  •  
Date of Birth //
  •  
Gender
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Relationship
  •  
Sacraments Received
  •  
Family Member #5 Information
Name
  •  
Date of Birth //
  •  
Gender
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Relationship
  •  
Sacraments Received
  •  
Family Member # 6 Information
Name
  •  
Date of Birth //
  •  
Gender
  •  
Relationship
  •  
Sacraments Received
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